1.やさしい
A patient is very dramatic, dresses to draw attention and is uncomfortable when she is not the centre of attention. Which personality disorder does this suggest?
- AAvoidant
- BSchizoid
- CParanoid
- DHistrionic
2.やさしい
せん妄は、通常、認知症とどう違いますか?
- A同じ病態である
- B認知症は常に突然始まる
- Cせん妄は突然始まって変動し、認知症は数か月から数年かけて徐々に進行する
- Dせん妄は数年かけてゆっくり進行し、認知症は突然始まり、時間ごとに変動する
3.やさしい
抗コリン性の副作用はどれですか?
- A高熱と発疹
- B低血糖と体重減少
- C下痢、発汗、流涙、唾液分泌の増加
- D口渇、便秘、尿閉、霧視
4.ふつう
What is the Abnormal Involuntary Movement Scale (AIMS) used for?
- ATo screen for and monitor tardive dyskinesia
- BTo assess the risk of a patient becoming violent
- CTo measure the severity of alcohol withdrawal
- DTo rate the severity of depression
5.ふつう
How should a nurse screen a patient for intimate partner violence?
- AAsk the partner instead of the patient
- BAsk in front of the partner to see how he reacts
- CAsk in private, without the partner or family present
- DOnly ask patients who have visible injuries
6.ふつう
精神状態の評価で、「病識」では何を評価しますか?
- A患者が自分に精神面の問題があり、助けが必要だと理解しているかどうか
- B患者の時間と場所の見当識
- C患者が、金銭、食事、セルフケアについて、安全な日常的決定を下せるかどうか
- D患者の話す速さ
7.むずかしい
A patient with anxiety asks for her PRN lorazepam every time it is due. What is the best nursing approach?
- AGive her a placebo tablet instead, without telling her, to see whether she really needs it
- BAlways give it as soon as she asks, without assessment
- CRefuse to give it, because she might become dependent
- DAssess her anxiety each time, offer other coping strategies and give it if indicated
8.むずかしい
An older woman living with her son looks thin and unkempt. She says her son "looks after the money" and she is often hungry. What should the nurse do?
- ATalk to her privately, document the findings and raise an adult safeguarding concern
- BIgnore it, because family finances are a private matter
- CTell her that she must move out of her son's home at once and stay with friends until the matter is sorted out
- DAsk the son in front of her whether he is stealing her money
解答
- 1. D · Histrionic
- 2. C · せん妄は突然始まって変動し、認知症は数か月から数年かけて徐々に進行する
- 3. D · 口渇、便秘、尿閉、霧視
- 4. A · To screen for and monitor tardive dyskinesia
- 5. C · Ask in private, without the partner or family present
- 6. A · 患者が自分に精神面の問題があり、助けが必要だと理解しているかどうか
- 7. D · Assess her anxiety each time, offer other coping strategies and give it if indicated
- 8. A · Talk to her privately, document the findings and raise an adult safeguarding concern
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。